Conference Report
Plenary Session 2

As India moves closer to its Universal Health Coverage goal, lessons from innovative programmes initiated by various states can play a crucial role in realising it. The session, Best Practices in Healthcare Delivery from Indian States, highlighted some of the unique programmes that are making healthcare in the country people-friendly and affordable.

DR RATHAN KELKAR
Mission Director, National Health Mission and
utive Director, Suvarna Arogya Suraksha Trust,
Department of Health and Family Welfare
Government of Karnataka

Karnataka is the first state in India to move towards universal health coverage (UHC) for all its citizens. The UHCs objectives include equity in access to health services, i.e., everyone who needs services should get them and not just those who can afford them; the quality of health services must be good enough to improve the health of those receiving the services; and people should be protected against financial risk, thus ensuring that cost of availing these services does not put them at risk of financial harm.

Key Takeaways

• Karnataka covers more than 90% of its population (APL and BPL) in tertiary care. The National Health Mission, Karnataka, augments primary healthcare, while secondary healthcare is provided through a mix of schemes “ both state as well as central.
• Tertiary care schemes are implemented by Karnataka in assurance mode as opposed to insurance mode. The scheme implemented for BPL families was commended by the World Bank which found a reduction of up to 64% in out of pocket expenses.
• The Government of Karnataka has announced the convergence of all health insurance schemes; inclusion of all the families under UHC; and continuati on of Yeshaswini scheme. All schemes to be brought under the control of Department of Health and Family Welfare.
• The State Health Mission in Kearala will work to ensure the success of Ardram Mission, which will be implemented in three stages in Government Medical College Hospitals, District Hospitals, Taluk Hospitals, Ayurveda and Homeo Hospitals and Primary Health Centres.
• A Task Force and a full ti me Chief utive will be in charge of managing the day to day affairs of the Mission. Additional Chief Secretary of the Health Department will serve as the Mission Secretary and the Chairperson of Task Force.

DR NEETA VIJAYAN MP
Senior Programme Manager, RCH, Nati onal Health
Mission, Government of Kerala

Ardram Mission is a project to make government hospitals people-friendly by improving their basic infrastructure. Government hospitals can be made people friendly to a large extent by ensuring that out-patient medical checkup and other investigation facilities are timely available. This would also enable the hospital administration to give adequate attention to in-patient services.

KV RAMANA
Director, Department of Health
Puducherry UT

The Government of Puducherry has given utmost priority to the healthcare. We off er free-medicare to all its citizens. As much as 2.5% of Puducherrys GDP is being invested on healthcare. Eight to ten per cent of planned budget goes to the Department of Health and Family Welfare. Increasing demand for cardiac surgery and lack of skilled manpower has led to signing of an MoU between the Department of Health and Lifeline Hospital, Chennai on PPP mode.

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